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1770700163
COURTNEY KATRIL PETTIFORD
BECKLEY, WV
NPI
1770700163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: WV 24518)
Additional Taxonomies
208600000X Surgery
(Licence: GA 64715)
Enumeration Date
2007-04-19
Last Update Date
2012-04-26
Business Address
Dr. COURTNEY KATRIL PETTIFORD M.D.
122 GEORGE ST
BECKLEY, WV 25801-2641
Phone number: 304-250-0382
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Mailing Address
Dr. COURTNEY KATRIL PETTIFORD M.D.
122 GEORGE ST.
BECKLEY, WV 25801-2641
Phone number: 304-250-0382
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